SENIOR NETWORK INC. NPI 1194844720

NPI Information

  • NPI: 1194844720
  • Provider Name: SENIOR NETWORK, INC.
  • Classification: Clinic/Center - 261QA0600X
  • Specialization: Adult Day Care
  • Entity Type: Organization
  • Doing Business As: FENWICK LANDING ADULT DAY HEALTH CENTER
  • CLIA Number: 21D2123579
  • Address: 11665 DOOLITTLE DR
    WALDORF, MD
    ZIP 20602
  • Phone: (301) 638-0502

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NPI Details

SENIOR NETWORK, INC. is an adult day care clinic center in Waldorf, MD. SENIOR NETWORK, INC. NPI is 1194844720. The provider is registered as an organization entity type.
The provider Is Doing Business As Fenwick Landing Adult Day Health Center.

The provider's business location address is:

11665 DOOLITTLE DR
WALDORF, MD
ZIP 20602-898
Phone: (301) 638-0502
Fax: (301) 970-2459

The provider's authorized official is Karin Mueck Lakin .
The authorized official title is Director Of Operations and has the following contact phone number (301) 749-7611.

The CLIA number assigned to this NPI record is 21D2123579 - other - medical adult day care with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/28/2007 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QA0600XClinic/CenterAdult Day Care17311MARYLANDYes

What is NPI?

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This page was last updated on: 3/30/2025

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